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10.1016/j.ijbiomac.2020.04.162 31

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Although central neuropathic pain in PD was initially described by Souques 92 in 1921 as a primary parkinsonian pain, it is a symptom that has been little studied and it has been suggested that it could be caused by a dysfunction of the central nervous system in nociceptive processing 68 , 93 , as suggested by the decrease in the threshold for pain produced by heat stimuli in some of these patients 94 , as well as the alteration in the modulation of pain due to the dopaminergic deficiency in the basal ganglia-thalamus-cortex circuit 65

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